App mutation land - Bardhaman

1 APPLICATION FOR mutation OF land To The Block land & land Reforms Officer, _____, District _____. Sir, I/We like to mutate my name/our names in respect of the land purchase by me/ us. Necessary particulars and documents at furnished below:- 1. Name of the applicant : 2. Full Address : 3. Schedule of land : a) Name of Mouza b) No. c) Khaitan No. ( & ) : d) Plot No.. ( & ) : e) Record Classification: f) Area of land g) Police Station: h) District 4. Purchase for which mutation is required: 5. Registered Deed No. & date: 6. In case of inheritance, No of Succession certificate issued by the competent Authority with date. 7. Whether the land is in possession of the applicant : 8. Xerox copies of the documents furnished: a) Registered Deed of Transfer: b) Chain deeds of transfer: c) In case of inheritance, the Succession certificate of component Authority: d) Upto date of rent receipt showing the payment of land revenue and case of the land in question: e) Affidavit of original as per Annexure-I: f) Three copies of declaration as per Annexure- II.

2 G) Sketch Map of the lard in question, duly signed. Yours faithfully, Date ANNEXURE-I Format of Affidavit. I/We, Shri/Smt/M/s_____ S/o,D/o,W/o_____residing at solemnly affirm and declare as follows:- 1. That I/ we have purchase/ acquired the land having the following schedule: Mouza No. Khatian NO. (RS & LR) Plot No. (RS & LR) Recorded clarification Area Purchased acquired District 1 2 3 4 5 6 7 8 From Shri/Smt_____ S/o,D/o,W/o_____ vide Registered, Deed dated_____ through inheritance for_____purchse, on being dully satisfied that the aforesaid transferor had good and transferable title and possession over the land in question. 2. I/We further undertake to the effect that in case the mutation is allowed, I/ We will have no claim over the said land if in future the land (s) vests in the State in any proceeding under any provision of law.

3 3. I/We also undertake to the effect that if the land in question is found to be vested, I/We will apply to the State Government for long Term Settlement of the same under usual terms and conditions on payment of Rent and Selami etc. as will be determined by the State Government. 4. That in case of my failure to apply for long Term Settlement within the period of one month, I shall be liable to be evicted from the land as a trespasser and shall also be liable to payment of damage for the use and occupation of the said land . 5. That I have taken over possession of the land and the said land is free from encumbrances. 6. That I have submitted chain of succession deed as proof of title/I declare that I have purchased land from vender being fully satisfied that the letter had good and transferable title over the land .

4 7. That the statements made above are true to the best of my acknowledge and belief. Signature Identified by me Advocate Date DECLARATION I/We Shri/Smt/M/s_____ S/o,D/o,W/o_____ residing at _____ do hereby solemnly affirm and declare as follows: 1. That I/ we have purchase/ acquired the land having the following schedule: Mouza No. Khattan NO. (RS & LR) Plot No. (RS & LR) Recorded clarification Area Purchased acquired District 1 2 3 4 5 6 7 8 From Shri/Smt_____ S/o,D/o,W/o _____vide Registered, Deed No. _____dated _____through inheritance for_____purpose,on being fully satisfied that the aforesaid transferor had good and transferable title and possession over the land in question. 2. I/We further undertake to the effect that in case the mutation is allowed, I/We will have no claim over the said land if in future the land (s) vests in the State in any proceeding under any provision of law.

5 3. I/We also undertake to the effect that if the land in question is found to be vested. I/We will apply to the state Government for long Term Settlement of the same under usual terms and conditions on payment of Rent and Selami etc. as will be determined by the State Government. 4. That in case of my failure to apply for long Term Settlement within the period of one month, I shall be liable to be evicted from the land as a trespasser and shall also be liable to payment of damage for the use and occupation of the said land . 5. That I have taken over possession of the land and the said land is free from encumbrances. 6. That I have submitted chain of succession deed as proof of title/I declare that I have purchased land from vendor being fully satisfied that the letter had good and transferable title over the land .

6 7. That the statements made above are true to the best of my acknowledge and belief. Signature Identified by me Advocate Date